My next appointment is with Dr. Rasmussen. We go over the
latest and greatest which included the ER visit and partial blockage and the 4th
dilation. He also decides at this appointment that the feeding tube has become
necessary and doesn't want to wait any longer to have it done. He is also
leaning more towards the idea that some part of the surgery will need to be
re-done but will not consider re-doing the surgery until at least 6 months
post-op and until I can stabilize and maintain my weight. How much of the
surgery that needs to be re-done he is not sure of and decides to order another
test. Another barium swallow is ordered right before the feeding tube will be
placed. I am supposed to follow up with him a week after the feeding tube is
placed.
I also see Dr. Frech before the feeding tube is placed to
follow up with the last dilation. He 100% agrees with placing the feeding tube.
When he goes back to look at all my numbers, it is shocking to hear how much I
have really lost. He is also super leery about re-doing the surgery. He thinks
it will be beneficial to leave the tube in place for 6-8 weeks and then pull it
out and do a steroid injection into the surgical anastomosis. This can prevent
inflammation and allow that area to heal better. He also suggests doing a side
by side re-connection in the surgery. This involves cutting the old connection
loose and bringing the intestine side by side and cutting it open 3-4 cm and
then connecting that to the stomach. He wants to see me again in 6 weeks or
before that if Dr. Rasmussen decides to do surgery.
At this point, I am confused at whose plan I want to go
along with.
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